Correspondence on 'Pulmonary endocarditis due to Neisseria gonorrhoeae in a patient living with HIV by Cabras et al

Dear Editor, A 49-year-old heterosexual man was admitted after three episodes of loss of consciousness. He had received a diagnosis of HIV infection in 2002 and was virologically suppressed on Biktarvy (CD4 count 499/mm3, nadir 302/mm3). Medical history comprised Staphylococcus aureus endocarditis and mitral valve replacement in 2011, followed by daily warfarin. The same year, he was diagnosed with bacterial meningitis secondary to acute otitis. No history of intravenous drug use was known. On admission, he reported night sweats for 1 week. His temperature was 36.9°C, blood pressure 137/96 mm Hg and heart rate 85 per minute. His blood test showed C reactive protein of 158 mg/L, leucocytes of 14.9x109/L/L, creatinine of 285 μmol/L and B-type natriuretic peptide of 251 pg/mL. Pulmonary scintigraphy and brain CT scan were normal. Transthoracic echocardiography showed a large vegetation (25x7 mm) and a dilated pulmonary valve with right-sided heart failure. All six initial blood cultures were positive for penicillin-susceptible...
Source: Sexually Transmitted Infections - Category: Sexual Medicine Authors: Tags: PostScript Source Type: research